Faithfully Restored

NPI #1003323726 in Longview, Texas

Provider Information

NPI Number
1003323726
Entity Type
Organization
Organization Name
Faithfully Restored
Primary Specialty
Social Worker - Clinical
Enumeration Date
Jan 3, 2018
Last Updated
Jan 3, 2018

Practice Location

Address
1010 TRISTAN LN
State
Texas
ZIP Code
75604-1862
Phone
(903) 918-6574

Authorized Official

Name
KIMBERLY CLOUGH, LCSW
Title
CEO
Phone
(903) 918-6574

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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